Individual
MR. JAMES ALLEN WIEBOLD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH THERAPIST
Contact information
Practice address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1445
Mailing address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1544
NE
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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